在约旦促进数据驱动决策:加强国家卫生信息系统并就卫生系统核心指标达成共识。

IF 3.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Fadi El-Jardali, Racha Fadlallah, Raeda Abu AlRub, Diana Jamal, Najla Daher
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引用次数: 0

摘要

背景:运转良好的卫生信息系统是强大的卫生系统和实现可持续发展目标的基础。在约旦,由卫生部监督的国家卫生信息系统面临着与数据收集重叠、数据可用性差距和影响有效决策的操作效率低下有关的挑战。本研究旨在通过评估现有的卫生信息系统,并就核心卫生系统功能、孕产妇、儿童和青少年健康以及难民健康的一套标准化指标达成共识,促进约旦的数据驱动决策。方法:采用多方面的逐步方法,包括以下步骤:对卫生信息系统进行基线评估,编制综合候选指标清单,召开协商会议确定指标的优先级并对指标进行验证,制定程序手册以规范入围指标。结果:卫生资讯系统的基线评估在以下层面确定了需要改进的地方:管治和规划;基础设施和资源;数据管理;以及支持数据驱动决策的机构能力。在国际来源审查的4120个指标和约旦指标清单中的215个指标中,编制了415个候选指标,并将其分类为三个优先主题领域:核心卫生和卫生系统指标(n = 167),孕产妇、儿童和青少年健康指标(n = 137)和难民健康指标(n = 111)。15个利益相关者参加了第一次共识会议,14个参加了第二次共识会议,10个参加了第三次共识会议。利用基于标准的排名系统,参与者根据三个标准独立地对每个候选指标进行评级:重要性、可行性和可操作性。随后根据“保留”标准对入围指标进行了验证。这一过程产生了一份最终有效的指标清单,其中包括55个核心卫生系统指标(其中33个报告在约旦);40项孕产妇、儿童和青少年健康指标(其中21项在约旦报告);26项难民健康指标(约旦没有报告)。与会者还建议在每个专题领域增加指标。根据三个专题领域,编制和验证了三份程序手册。结论:本研究的结果有助于对约旦医疗卫生系统改革进行更广泛的讨论,强调需要不断努力提高数据质量、利益相关者合作和基础设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Promoting data-driven decision-making in Jordan: strengthening national health information system and achieving consensus on core set of health system indicators.

Background: A well-functioning health information system (HIS) is foundational for strong health systems and the achievement of the Sustainable Development Goals. In Jordan, the national HIS, overseen by the Ministry of Health, faces challenges related to overlapping data collection, data availability gaps, and operational inefficiencies which compromise effective decision-making. This study aims to promote data-driven decision-making in Jordan by assessing the existing HIS and fostering consensus on a standardized set of indicators for core health system functions, maternal, child and adolescent health, and refugee health.

Methods: A multifaceted stepwise approach was adopted, encompassing the following steps: baseline assessment of HIS, compilation of a comprehensive list of candidate indicators, consensus meetings to prioritize and validate the indicators, and development of procedure manual for standardizing the shortlisted indicators.

Results: The baseline assessment of HIS identified areas for improvement at the following levels: governance and planning; infrastructure and resources; data management; and institutional capacity to support data-driven decision-making. Of 4,120 indicators reviewed from international sources and 215 from Jordan's indicators inventory, 415 candidate indicators were compiled and categorized into three priority thematic areas: core health and health systems indicators (n = 167), maternal, child and adolescent health indicators (n = 137), and refugee health indicators (n = 111). Fifteen stakeholders took part in the first consensus meeting, 14 in the second, and 10 in the third meeting. Utilizing a criterion-based ranking system, participants independently rated each candidate indicator against three criteria: Importance, Feasibility, and Actionability. The shortlisted indicators were subsequently validated against the criterion 'retain'. This process resulted in a final validated list of indicators, comprising 55 core health systems indicators (33 of which are reported in Jordan); 40 maternal, child and adolescent health indicators (21 of which are reported in Jordan); and 26 refugee health indicators (none of which are reported in Jordan). Participants also suggested indicators to be added to each thematic areas. Three procedure manuals were developed and validated, corresponding to the three thematic areas.

Conclusion: Findings from this study can contribute to the broader discourse on HIS reforms in Jordan, emphasizing the need for ongoing efforts to enhance data quality, stakeholder collaboration, and infrastructure.

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来源期刊
Reproductive Health
Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.00
自引率
5.90%
发文量
220
审稿时长
>12 weeks
期刊介绍: Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.
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